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Journal of Neurology, Neurosurgery, and Psychiatry 2005;76(Supplement 3 ):iii29-iii38; doi:10.1136/jnnp.2005.075259
Copyright © 2005 by the BMJ Publishing Group Ltd.

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Syndromes of the orbital fissure, cavernous sinus, cerebello- pontine angle, and skull base

I Bone, D M Hadley

Institute of Neurological Sciences, Southern General Hospital, Glasgow, UK

Correspondence to:
Correspondence to:
Professor Ian Bone
Institute of Neurological Sciences, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF, UK; i.bone@clinmed.gla.ac.uk

Keywords: cavernous sinus; cerebellopontine angle; orbital fissure; skull base

The first 150 words of the full text of this article appear below.

This article outlines the clinical presentation, neuroradiological approach, and the application of helpful ancillary investigations in the diagnosis of a range of cranial nerve syndromes. These syndromes are characterised by combinations of cranial nerve lesions that occur because of the involvement of contiguous nerves that direct investigation to a specific site. The syndromes highlight some important basic anatomy—in particular, knowledge of the contents of the cranial nerve exit/entry foramina (table 1Go) as well as the sites at which cranial nerves are clustered (table 2Go).


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Table 1  Cranial foramina and their contents
 

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Table 2  Site specific cranial nerve palsies caused by extra-axial disease
 
The rate of presentation, with or without more widespread neurological or systemic involvement, hints at the particular pathological process at play.

Advances in neuroimaging mean that the clinician and neuroradiologist have a range of available modalities to choose from. Discussion and appropriate selection of these is essential to accurate diagnosis . . . [Full text of this article]







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Copyright © 2005 by the BMJ Publishing Group Ltd.